Bed wetting.

Enuresis or bed wetting is the involuntary passage of urine beyond the age of anticipated control that is usually 5-6 years. 15-20% of children 5 years of age wet their beds. Nearly 5% of 10 year olds will wet, and 1% of adolescents and adults continue to wet. It is twice as common in boys as in girls. Bedwetting also seems to run in families. What are the types of wetting problems? Primary enuresis means that the child has been wet from the beginning, whereas secondary enuresis means that the child had been dry earlier and has now started wetting. The latter condition could be due to urinary infection, diseases like diabetes, structural abnormalities in the urinary passages or stressful situations at school or at home like divorce, demanding parents or the arrival of a sibling. What are the symptoms? Commonly, wetting at night is the only symptom, but some children also have frequent urination during the daytime with occasional wetting. It has been seen that children who are constipated are more likely to have enuresis. What investigations are needed? The doctor first takes a detailed history and examines the child to exclude structural abnormalities that may be the cause of bed-wetting. In case a doubt persists after examination, the doctor will order a urine test to exclude urinary infection. An ultrasound scan may be done to evaluate the urinary system for structural abnormalities. Rarely, special tests may be asked for, like intravenous pyelography (IVP) that is a special X-ray test after an injection into the vein, or cystometry in which the pressures inside the urinary bladder are measured.

Enuresis is a common problems faced by few children & some adults.It need proper affection to the baby.punishment worsen the condition.restricting fluid in the night & making a habit to pass urine before going to bed. Certain drugs are used by pediatrician /doctors . effectiveness /utility of these drugs are not well established. If there is no organic cause then condition subsides it self.

The good thing is that a large number of children stop wetting as they grow up. But during the time that they are wetting, the social costs are enormous. These children need all the support and compassion from their parents and the care givers. Other methods that often help include:
# Behavior modification techniques such as rewarding the child for remaining dry at night. The rewards may increase in value with each passing dry night. It is inappropriate to punish the child for a wet night. In fact, punishment worsens the situation.
# Fluid intake should be limited from the evening so that the child produces less urine. Sometimes this regime may be harsh to enforce on children.
# The use of alarm devices is beneficial. These alarms use a pad inserted into the child's underwear, so that as soon as the pad gets wet an alarm bell rings waking the child up before the bladder empties completely. This conditions the voiding mechanism in several children. Unfortunately, good quality alarms are not available in I

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MD

i m an 18 year old girl who just graduated high school. ever since junior high, i have had problems with peeing in my bed the night before i take a final or big exam. however, i am going off to college next fall and do not want my roomate to find out about my embarrassing problem, is there anything i can do to prevent this from happening?

okay i really didn t want to have to ask it myself but i couldn t find out online...im 17 and a male and recently for the past few days i have wet the bed i wake up of course while its happening but not before. i have never had this problem before i would always wake up if i had to pee. I am wondering if it is because of the melatonin i have been taking before bed? though i know the dose is a recommended i think its what like one 3mg pill before you go to bed but i have been taking 3-4 because it doesn t work on me till bout there, i know its muscle relaxant and i can really put you into a deep sleep. is it possible that it is not allowing me to be able to wake up on my own or possibly even relaxing my muscles so much that i just am urinating when my bladders full cause my body thinks its what im supposed to be doing? this problem has never occurred and im pretty sure i do not have that Enuresis or whatever. I m quite convinced its the melatonin just preventing me from getting up but i still just want a straight up answer, thank you.

Hi My son is 10 and is still wetting the bed, he is a happy and sensitive boy with a mum, dad and older brother who love him dearly, if his mum or i argue even slightly this seems to trigger the bed wetting, he has dry nights then out of the blue he wets the bed, he gets up and moves to the couch and then wets this also, what can we do?

hi. Im a 28 yr old student. Over the last month I have been tired all the time, I forget regular bits of information like the date, and have had several incidents of bed wetting in the last 2 weeks. Could this be due to the stress of my up coming exams?

My daughter will be 12 next month and still has bed wetting accidents. I believe she is considered secondary enuresis. My mother doesn't think it started until she hit her head years ago and developed a mild concussion. She was released from the hospital shortly after and they said she was fine. I do not know if the concussion plays a part. The concussion happened in October 2006 and she has been bed wetting ever since. I stopped using night time pants almost 2 weeks ago and she has had only 2 accidents. Should I just not give any liquids after 6:30p.m. and wake her up at night to go since she has depended on the night time pants for so long? Or is there possibly a more complex answer.

Hello Doctor!My 13 year old daughter is facing a problem of bed wetting for last 4 years. It relapsed around 2007, after a reasonable gap, since she stopped it around the age of 6-7 years. Although a bit late that time also, and with homeopathic medication. Normally she is awake immediately when bed-wetting starts at night but can not completely control. She has been prescribed tryptomer 25 and taking it for last 6 months. But of no reasonable effect. Kindly advise. Also please advise whether I should still continue her on tryptomer?

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